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系统性种族主义的经验证据为土著人民在加拿大进行移植
Simone Kennedy1, Robyn Wiebe1, Reetinder Kaur1
1Kidney Transplant Research Program, Providence Research, Vancouver, British Columbia, Canada.
Kidney international reports
|June 9, 2025
概括
土著患者面临移植的重大障碍,包括系统性种族主义和缺乏文化安全的护理. 解决这些问题需要改善卫生系统和量身定制的干预措施,以确保平等获得移植.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 移植医学 移植医学
- 土著健康土著健康
背景情况:
- 患有功能衰竭的土著患者接受移植的可能性明显低于白人加拿大人.
- 对于土著人民在获得移植时所面临的具体障碍的了解有限.
研究的目的:
- 描述土著移植候选人,接受者,活体捐赠者和长老的观点和经验.
- 在加拿大不列颠哥伦比亚省发现脏移植的障碍.
- 为医疗服务干预措施的发展提供信息,解决系统性不平等问题.
主要方法:
- 与19名参与者进行了半结构面试.
- 举办了4个焦点小组,共有18名参与者 (共n=37).
- 采用了面试和焦点小组成绩单的专题分析.
主要成果:
- 确定了五个关键主题:面对不确定性和风险,给予文化,系统性种族主义和歧视,应对移植/捐赠的复杂性以及缺乏文化安全的护理.
- 突出了卫生系统内可修改的障碍.
- 强调需要文化安全的患者教育和导航支持.
结论:
- 本土患者在移植方面遇到重大,潜在的可修改障碍.
- 文化安全的患者教育和土著特定的导航支持至关重要.
- 需要卫生服务和政策干预措施来解决移植获取方面的不平等问题.
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